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,
,**
* From the Department of Anesthesiology,
Chalmers Research Group,
Research Institute and,
Department of Pediatrics, Childrens Hospital of Eastern Ontario,
the Department of Anesthesiology, The Ottawa Hospital, and the
** Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Address correspondence to: Dr. Kimmo Murto, Department of Anesthesiology Childrens Hospital of Eastern Ontario, 401 Smyth Rd., Ottawa, Ontario K1H 8L1, Canada. Phone: 613-737-2431; Fax: 613-738-4815; E-mail: kmurto{at}cheo.on.ca
Purpose: We hypothesized that advanced information and communication technology (ICT) would be acceptable to parents in a pediatric surgical, and diagnostic imaging day care setting.
Methods: After Ethics Committee approval, we distributed surveys, over a one-month period, to parents of children arriving for day care surgery or diagnostic imaging. Parents indicated their acceptance of various proposed modes of postoperative discussion of healthcare i.e.; face-to-face, videophone, or telephone. Parents were also asked to describe their receptiveness to scheduling non-emergency hospital appointments online and to receiving electronic media describing their childs surgery and postoperative management. Parental education, income, and familiarity with the Internet were also assessed.
Results: A total of 451 surveys (84% response rate) were returned. Most parents (95%) had access to the Internet and 70% did their banking online. Forty-two percent of the parents had at least a university education and 63% had an annual family income > $50,000 Canadian. The majority of parents (98%) accepted face-to-face interaction, while only 35% and 37% of parents were receptive to videophone and telephone interviews, respectively. Computer availability (P = 0.001) and online banking (P = 0.011) were the only variables that predicted those parents who were in favour of using videophone technology. Parents were receptive to instruction electronic media (80%) and booking appointments online (61%).
Conclusions: A well-educated and technologically sophisticated parent population does not favour advanced communication technologies over simple, face-to-face interaction in an in-hospital setting. These parents are prepared to receive technology-based information about their childs surgery and to schedule non-emergency hospital appointments online.
1 Prada G, Roberts G, Vail S, et al. Understanding Health-Care Cost Drivers and Escalators: The Conference Board of Canada, Alberta; 2004. Available from URL; www.health.gov.ab.ca/resources/publications/conference_board.pdf (accessed December, 2007).
2 Ellison LM, Pinto PA, Kim F, et al. Telerounding and patient satisfaction after surgery. J Am Coll Surg 2004; 199: 523–30.[Medline]
3 Currell R, Urquhart C, Wainwright P, Lewis R. Telemedicine versus face to face patient care: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2000; (2): CD002098.
4 Hersh WR, Helfand M, Wallace J, et al. Clinical outcomes resulting from telemedicine interventions: a systematic review. BMC Med Inform Decis Mak 2001, 1: 5.[Medline]
5 Heinzelmann PJ, Williams CM, Lugn NE, Kvedar JC. Clinical outcomes associated with telemedicine/telehealth. Telemed J E Health 2005; 11: 329–47.[Medline]
6 Bensink M, Armfield N, Russell TG, Irving H, Wootton R. Paediatric palliative home care with internet-based video-phones: lessons learnt. J Telemed Telecare 2004; 10(Suppl. 1): 10–3.[Medline]
7 Flewelling C, Ingram CA. Telepediatrics in Canada: an overview. Telemed J E Health 2004; 10: 357–68.[Medline]
8 Wong DT, Kamming D, Salenieks ME, Go K, Kohm C, Chung F. Preadmission anesthesia consultation using telemedicine technology: a pilot study. Anesthesiology 2004; 100: 1605–7.[Medline]
9 Dorman T. Telemedicine. Anesthesiol Clin North America 2000; 18: 663–76.[Medline]
10 Jacques PS, France DJ, Pilla M, Lai E, Higgins MS. Evaluation of a hands-free wireless communication device in the perioperative environment. Telemed J E Health 2006; 12: 42–9.[Medline]
11 Cone SW, Gehr L, Hummel R, Merrell RC. Remote anesthetic monitoring using satellite telecommunications and the internet. Anesth Analg 2006; 102: 1463–7.
12 Murto K, Chowdary K, Abushahwan I, et al. A pilot study: videophones in a pediatric day care setting. Can J Anesth 2005; 52: A104 (abstract).
13 Miyasaka K, Suzuki Y, Sakai H, Kondo Y. Interactive communication in high-technology home care: videophones for pediatric ventilatory care. Pediatrics 1997; 99: 1–6.
14 Dillman DA. Chapters 1–4. In: Dillman DA (Ed.). Mail and Internet Surveys. The Tailored Design Method, 2nd Ed. NY: John Wiley & Sons Inc.; 2000: 3–193.
15 Litwin MS. Validity. In: Litwin MS (Ed.) The Survey Kit TSK 7. How to Measure Survey Reliability and Validity. CA: Sage Publications, Inc.; 1995: 33–45.
16 Litwin MS. Reliability. In: Litwin MS (Ed.) The Survey Kit TSK 7. How to Measure Survey Reliability and Validity. CA: Sage Publications, Inc.; 1995: 5–31.
17 Dillman DA. Reduction of coverage and sampling errors. In: Dillman DA (Ed.). Mail and Internet Surveys. The Tailored Design Method, 2nd Ed. NY: John Wiley & Sons Inc.; 2000: 194–213.
18 Mair F, Whitten P. Systematic review of studies of patient satisfaction with telemedicine. BMJ 2000; 320: 1517–20.
19 Rosenfeld BA, Dorman T, Breslow MJ, et al. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med 2000; 28: 3925–31.[Medline]
20 Diamond HS, Goldberg E, Janosky JE. The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital. Ann Intern Med 1998; 129: 197–203.
21 Miller EA. The technical and interpersonal aspects of telemedicine: effects on doctor-patient communication. J Telemed Telecare 2003; 9: 1–7.[Medline]
22 Jacobsen SE, Sprenger T, Andersson S, Krogstad JM. Neuropsychological assessment and telemedicine: a preliminary study examining the reliability of neuropsychology services performed via telecommunication. J Int Neuropsychol Soc 2003; 9: 472–8.[Medline]
23 Liddell C, Rae G, Brown TR, Johnston D, Coaes V, Mallett J. Giving patients an audiotape of their GP consultation: a randomised controlled trial. Br J Gen Pract 2004; 54: 667–72.[Medline]
24 Borowitz SM, Wyatt JC. The origin, content, and workload of e-mail consultations. JAMA 1998; 280: 1321–4.
25 Dick PT, Filler R, Pavan A. Participant satisfaction and comfort with multidisciplinary pediatric telemedicine consultations. J Ped Surg 1999; 34: 137–42.[Medline]
26 Kain ZN, Caldwell-Andrews AA, Mayes LC, et al. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial. Anesthesiology 2007; 106: 65–74.[Medline]
27 Sim NZ, Kitteringham L, Spitz L, et al. Information on the World Wide Web –how useful is it for parents? J Pediatr Surg 2007; 42: 305–12.[Medline]
28 Hailey D. The need for cost-effectiveness studies in Murto et al.: telemedicine. J Telemed Telecare 2005; 11: 379–83.[Medline]
29 Whitten PS, Mair FS, Haycox A, May CR, Williams TL, Hellmich S. Systematic review of cost effectiveness studies of telemedicine interventions. BMJ 2002; 324: 1434–7.
30 Reardon T. Research findings and strategies for assessing telemedicine costs. Telemed J E Health 2005; 11: 348–69.[Medline]
31 Abenstein JP. Technology assessment for the anesthesiologist. Anesthesiol Clin 2006; 24: 677–96.[Medline]
32 Prada G, Grimes K, McCleery A, et al. Challenging Health Care System Sustainability: Understanding Health System Performance of Leading Countries: The Conference Board of Canada; 2004. Available from URL; www.health.gov.ab.ca/resources/publications/conference_board2.pdf (accessed December, 2007).
33 Hailey D, Ohinmaa A, Roine R. Study quality and evidence of benefit in recent assessments of telemedicine. J Telemed Telecare 2004; 10: 318–24.[Medline]
34 Roine R, Ohinmaa A, Hailey D. Assessing telemedicine: a systematic review of the literature. CMAJ 2001; 165: 765–71.
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